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STAR VALLEY HEALTHCARE INC. NPI 1184101529


NPI Information

NPI: 1184101529
Provider Name: STAR VALLEY HEALTHCARE, INC.

Doing Business As: SYMBII HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 53D2156224

Address:
625 S WASHINGTON ST, STE B
AFTON, WY
ZIP 83110
Phone: (307) 885-7583
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STAR VALLEY HEALTHCARE, INC. is a hospice care community based in Afton, WY. STAR VALLEY HEALTHCARE, INC. NPI is 1184101529. The provider is registered as an organization entity type.
The provider Is Doing Business As Symbii Hospice.

The provider's business location address is:

625 S WASHINGTON ST, STE B
AFTON, WY
ZIP 83110
Phone: (307) 885-7583
Fax: (307) 885-7584

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The CLIA number assigned to this NPI record is 53D2156224 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2018 and was last updated on 11/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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